Active NPI
Steven Mark Bloom, MD
- Ophthalmology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 26932
- Practice address
- 1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179 - Phone
- (502) 895-0040
- Fax
- (502) 361-4488
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 26932 | KY | |
| Ophthalmology Physician | 207W00000X | 26932 | KY | Primary |
Addresses
Primary practice location
1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179
Mailing address
1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179
Phone (502) 895-0040
Other practice location 1
6905 Burlington Pike
Florence, KY 41042-1618
Phone (859) 282-9999
Other practice location 2
9200 Leesgate Rd Ste 100
Louisville, KY 40222-5173
Phone (502) 895-0040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64269327 | Medicaid | KY | |
| 300050485 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924000722 | KY | Practitioner - Ophthalmology | 0244329076 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical College of Pennsylvania, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1181
Phone (502) 895-0040
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.51 of 100
- Quality
- 84.13
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of Louisville,P.S.C. | Current | Accepting new patients | |
| Eye Centers of Louisville,PSC | Ophthalmology | Current | Accepting new patients |
Locations
73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
6400 Westwind Way
Crestwood, KY 40014
Phone (502) 243-2227
1000 Johnstown Rd
Ste 102
Elizabethtown, KY 42701
Phone (270) 769-0099
6905B Burlington Pike
Florence, KY 41042
Phone (859) 282-9666
108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181
9200 Leesgate Rd
Ste 100
Louisville, KY 40222
Phone (502) 895-0040
9200 Leesgate Rd
Louisville, KY 40222
Phone (502) 895-0040
4010 DuPont Cir
Ste 380
Louisville, KY 40207
Phone (502) 895-0040
1935 Bluegrass Ave
Ste 200
Louisville, KY 40215
Phone (502) 364-0033
Interoperability endpoints
- steve.bloom.p2@direct.johnkenyon.nextgenshare.com
- bennett@bennettbloomeyecenters.imwdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1659385508
KY, Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Louisville, KY
- NPI 1396763074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1346224409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 BLUEGRASS AVE",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151179",
"telephone_number": "502-895-0040",
"fax_number": "502-361-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 BLUEGRASS AVE",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151179",
"telephone_number": "502-895-0040",
"fax_number": "502-361-4488"
}
],
"practiceLocations": [
{
"address_1": "6905 Burlington Pike",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410421618",
"country_code": "US",
"telephone_number": "859-282-9999",
"fax_number": "859-282-9666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 Leesgate Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402225173",
"country_code": "US",
"telephone_number": "502-895-0040",
"fax_number": "502-365-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOM",
"first_name": "STEVEN",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "KY",
"license": "26932",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "26932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64269327",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300050485",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.